Since last year, I am having a lot of health problems such as back pain, fingers joint dull pain, chest inflammation, irritation at penile area, inflammation inside the penile hole, body irritation, body weakness, fever. I often do sense inside my head, i.e., pricking with pins and needles and flu-like symptoms all the time.
The reasons for the above-mentioned problems are due to unprotected sex with a creature (dog). Under the heavy influence of an alcohol, such a blunder was committed. I have an apprehension of contracting rabies from that encounter. Can rabies be sexually transmitted? Please suggest me what test should I need to do to rule out the above-mentioned symptoms. I have great hope in you as you are one of experienced and best doctor cum pathologist. Please advice me the test so that I can perform the test and revert it to you for treatment.
Welcome to icliniq.com.
Rabies can spread sexually but your symptoms do not classically point towards rabies infection. The neurological symptoms like confusion, nausea, excess salivation, etc., are missing. So the chance of rabies is less as per my opinion. However, for rabies, testing multiple samples like saliva, spinal CSF fluid, etc., like examination are needed.
You can rule out leptospirosis by serological ELISA testing as you have a history of sex with the dog. There are many zoonotic diseases which mean those infections which spread from animal to human. HIV also can be ruled out by ELISA testing. So your detailed evaluation is needed to do further work up.
For primary work-up, you can investigate as follows. Blood pressure measurement, serum all vitamin B estimation, SGPT, SGOT, urea, creatinine estimation, ESR, full CBC, serum ionized calcium estimation, serum vitamin (OH) D estimation. You can revert back with reports. For your detailed physical examination, you need to consult nearby internal medicine specialist.
Thank you doctor,
It is a family dog but not vaccinated. As per my observation, it is a good dog. Since for the last one and half year there is no sign of disease in dog. Can good dog do transmit rabies? The dog is still alive, or does every dog have rabies virus? Or is rabies present in unhealthy dogs? Or every unvaccinated dog do carry rabies virus in them?
If found out the presence of rabies through saliva test, then is there any step to prevent or cure the infection? I took two rabies vaccine after seven months from the day it happened. During bedtime, I often felt a tingling sensation at the penile area, insomnia and some sorts of ringing sound in the ear, etc. As you have mentioned neurological symptoms like confusion, it means what? What types of confusion? If I gave my saliva for the test at the test center, is the test reliable? How many days does it require to get results? And what is the cost of the test?
Welcome back to icliniq.com.
If your dog is alive after one year of exposure, then the chance of rabies is very much less. Usually, a normal healthy dog does not carry the virus. The rabies dog cannot survive for one year and it does not seem to be a healthy dog. So you may need not to worry about rabies. The neurological symptoms include mental confusion state, hydrophobia, convulsion, etc.
The direct fluorescent antibody testing, PCR, etc., are different testing methods in saliva, CSF fluid, etc. But it cannot be 100 % diagnostic. The only reliable, confirmatory test is rabies virus identification in brain tissue. But you need not test for rabies as per history and as per my opinion. The is no effective treatment for rabies. The only effective treatment is post-exposure prophylaxis with a vaccine within five days of exposure.
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